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Major surgery of oral and oropharyngeal carcinoma

Published online by Cambridge University Press:  29 June 2007

T. Alun Jones
Affiliation:
Department of Otolaryngology, 7925 Observatory, Cape Town, South Africa.
I. Gallow
Affiliation:
Department of Otolaryngology, 7925 Observatory, Cape Town, South Africa.
S. L. Sellars*
Affiliation:
Department of Otolaryngology, 7925 Observatory, Cape Town, South Africa.
D. H. Kranold
Affiliation:
Department of Radiotherapy, Groote Schuur Hospital, 7925 Observatory, Cape Town, South Africa.
G. R. Sealy
Affiliation:
Department of Radiotherapy, Groote Schuur Hospital, 7925 Observatory, Cape Town, South Africa.
*
Professor S. L. Sellars, Department of Otolaryngology, Groote Schuur Hospital, Observatory 7925, South Africa.

Abstract

Thirty-two composite resections were carried out in the Department of Otolaryngology at Groote Schuur Hospital for oral and oro-pharyngeal squamous carcinoma over the 10-year period, 1977–1986. Three patients were lost to review but all others were followed up to death or to five years. Twenty-seven patients underwent surgery as their primary procedure and five for recurrence after primary radiotherapy. The overall survival was 16 patients at three years and eight at five years. Only one of the five patients who underwent salvage surgery after failed radiotherapy was alive at five years and all five experienced serious postoperative complications. All thosesurviving over five years had had either N0 or N1, disease at the time of presentation for surgery.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1992

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